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temporary guardianship agreement document preview

what is a temporary guardianship agreement?

a temporary guardianship agreement is used to grant or allow another person or institution temporary authority to care for or make certain decisions on behalf of your minor child(ren) in your absence. this document should only be used if you are providing basic authorization in regard to who has the authority to make decisions for your child(ren) in your absence. an informal agreement may not need court approval, however, to be considered a temporary guardianship under the law, some specific court forms may also be required to confer rights. please talk to a lawyer to determine if any other forms are necessary in your state and/or situation. 
 
typically a temporary guardianship agreement is for circumstances in which the grant of custody over a child or children will last no more than 6 months. if your circumstances may require a guardianship agreement that will last more than 6 months, you may either renew the temporary guardianship agreement or consider making a child care authorization form or power of attorney for child. if you have any questions as to whether a temporary guardianship agreement is the best fit for your circumstances and needs, a network attorney can assist you.

when to use a temporary guardianship agreement:

  • you would like to give temporary authorization for another individual to make decisions regarding your child.
  • the circumstances making guardianship necessary might change in a short period of time.
  • you are experiencing financial difficulties or physical or mental ailments preventing you from caring for the child(ren).

sample temporary guardianship agreement

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and of . , , as the custodial parent or legal guardian of:

 

 

do hereby grant temporary guardianship of the above listed child to:

 

,

relationship to child:

 

 

s

termination of agreement

this temporary guardianship agreement shall terminate or according to jurisdictional limitation, whichever occurs sooner. this agreement is also subject to termination by any order of a court of competent jurisdiction that appoints a guardian or by a request in writing made by either parent.

 

if this guardianship is not renewed, custody reverts to the custodial parent or legal guardian.

parental acknowledgment

 

in witness whereof, i have signed this temporary guardianship agreement on .

 

 

by: ___________________________________ date: __________________

 

a notary public or other officer completing this certificate verifies only the identity of the individual(s) who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

state of ,

commonwealth of ,

county of , ss:

parish of , ss:

district of columbia, ss:

on this _______________day of _______________, _________, ________________________________________ (date) (month) (year) (name of parent) and ________________________________________ (name of parent) personally appeared before me in ___________________________, _______________ (city) (state) and, in my presence, has/have satisfactorily identified him/her/themselves as the signer(s) of this temporary guardianship form.

the foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, by personally known to me has/have satisfactorily identified him/her/themselves as the signer(s) of this temporary guardianship form.

guardian acknowledgment

 

hereby accept this appointment as guardian and agree to provide proper and necessary support of the minor child and to abide by all federal, state, and local laws in carrying out the appointment.

 

 

by: ___________________________________ date: __________________

 

a notary public or other officer completing this certificate verifies only the identity of the individual(s) who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

state of ,

commonwealth of ,

county of , ss:

parish of , ss:

district of columbia, ss:

on this _______________day of _______________, _________, ________________________________________ (date) (month) (year) (name of parent) and ________________________________________ (name of parent) personally appeared before me in ___________________________, _______________ (city) (state) and, in my presence, has/have satisfactorily identified him/her/themselves as the signer(s) of this temporary guardianship form.

the foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, by personally known to me has/have satisfactorily identified him/her/themselves as the signer(s) of this temporary guardianship form.

a notary public or other officer completing this certificate verifies only the identity of the individual(s) who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

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